The information below is used to assist Curtin College in monitoring, supporting and improving services to students. Disclosing this information will not necessarily affect your admission to the College or University.

Conditions, Permission and Declaration

Applicant declaration

I declare the information I have supplied on this form and in the attached documents is correct and complete.

I understand that the provision of false or incomplete information may result in cancellation of any offer of enrolment or actual enrolment.

The execution of this application form authorises Curtin College and Curtin University, as part of their assessment processes, to seek further information from Australian Government agencies as necessary; this to include but not be limited to Visa Entitlement Online.

I understand that I will only receive an Letter of Offer if I am deemed eligible to have met the assessment and entry requirement guidelines as outlined by Curtin College.

I have read and understand the need to make timely payments of any fees or associated costs for which I am liable.

I am aware of the likely costs of my stay in Australia and have the necessary financial capacity to meet such costs for the duration of my course.

I also understand that any information I provide to Curtin College may be made available to Commonwealth and State Government agencies, the Tuition Protection Scheme (TPS), and the Fund Manager of the ESOS Assurance Fund, pursuant to obligations under the ESOS Act 2000 and the National Code and that Curtin College is required to notify DoHA about certain changes to a student’s enrolment and any breach of student visa conditions relating to attendance or satisfactory academic performance (ESOS Act 2000).

I also understand that any current or prospective student of the College who experiences incorrect, inappropriate or unfair treatment in the course of their relationship with the College is entitled to access the complaints process set out in the Curtin College ‘Complaints Policy’ at www.curtincollege.edu.au/about-curtin-college/policies-procedures.

I authorize Curtin College to retain my tuition fees in accordance with the refund policy if I elect to cancel my enrolment at any time.

The execution of this application form authorises for the information contained in the form to be provided to either Curtin University or) Navitas English should Curtin College deem this necessary.

I have:

Read and understood the Conditions of Enrolment, including the Fee and Refund Policy, within the brochure or on the website.Read, understood and agreed to the applicant declaration.

Submit / Give extra info

That's everything we need, you're good to submit your application.

If you have a little extra time, you can give us some details (such as emergency contact info) in advance to speed up your enrolment, and there's some extra bits of information and feedback that'd really help us. If you don't have time, no worries, hit submit and we'll process your application as normal!

Please send email about my application to:

Speedup my Enrolment

Note: Your application has not been submitted yet, all of these fields are optional but may speed up your application/enrolment process and would help us. You can submit your application at the bottom of this page.

Parent's/Guardian's Details

Last Name

First Name(s)

Relationship to you

Email Address

Mobile/Cell Phone Number

Include +Country Code

Home Phone Number

Include +Country Code and Area Code

Business Phone Number

Include +Country Code and Area Code

Is your parent's/guardian's address the same as your current address?

YesNo

At this address:

Country

Parent's Educational Background

Father's Highest Completed Academic Qualification

Mother's Highest Completed Academic Qualification

Emergency Contact

Is your emergency contact's details the same as your parent's/guardian's details?

YesNo

Last Name

First Name

Relationship to you

Email Address

Mobile/Cell Phone Number

Include +Country Code

Home Phone Number

Include +Country Code and Area Code

Business Phone Number

Include +Country Code and Area Code

Is your emergency contact's address the same as your current address?

YesNo

At this address:

Country

Visa Application History

Have you applied for Australian Permanent Residency Status?

YesNo

Date of Application

Other Information

How did you first hear about us?

Other Source

Which country are you submitting this online application from?

Which city are you submitting this online application from?

Thanks!

We appreciate you having taken the time to give any extra details above, hit submit and we'll get processing your application!